HomeMy WebLinkAbout26-00058 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG76701oc� RA
COLLISION REPORT 1591971
INTERSTATE CITY STREET FIRE I
CASE# 26-00058 2
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF N E IN eDL�ISION' 01 - 03 - 2026 1214 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
SUNSET BlVD N
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET e S 8 W e NE 3RD ST
2 0 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:4255450474 0 1 30
5 LAST NAME YUSHCHUK FIRST NAME PAVLO MIDDLE t 1 2 31
INITIAL
STREET ❑ 2515 111 TH PL SE CITY; EVERETT ST WA ZIP 982087430 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPQRTED 3
INTERLOCKYEs[:]NOR] INTERLOCKVEs No�/ YES N(
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 07 - 25 - 1995 1 2 32
-NJUR
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASSY 1 [NATURE of INJURIES 2
LICENSE, CSS2654 STATE WA VIN# WE13PFOCDXKT005956 3
10 Fq I as ATP rt
TRAILER 95196AL STATE WA TRAILER STATE
11 3 0 PLATE# PLATE# ROM To
12 3 0 VIN# 4YMBU1829LROO1301 VINE# 1 5 33
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWEBBY GDVT VEHICLE
13 4 2019 MERZ SPRINT CG DAMAGE YES No ✓ vI No 1 5 34
REGISTERED OWNER INFO PAVLO YUSHCHUK 2515111TH PL SE EVERETT WA 98208 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO 2 3 4
14 STATEFARM 5258928F0247C
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE t S ❑ 36
ecnur YES[:]NO[:] CITATION# 7 0 80TTOM
15❑ T Nowc s 7 e
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR YES�/ NO D:4253653006
16�
LAST NAME SHEETS FIRST NAME FLOYD MIDDLE W
INITIAL
STREET ❑
17� ❑ 14927 133RD AVE SE CITY RENTON ST, yyq ZIP 98058 4 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED') 38
INTERLOCKYES NO INTERLOCK YES NO YES NO
19 DRIVERS ' STATE WA SEX M I D.O.C. O5 03 1950 � 39
LICENSE# MMDDYYJ I —
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H ET 2 INJURY 1 NATURE OF INJURIES 40
USE CLASS
21 LICENSE BGD9749 rArE WA vIN# 4S4BSAHC6H3397050 41
22❑ PLATE# STATE PLAAILER
TE# STATE 42
23= TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2017 MAKE $Ugq MODEL OUTBAC STYLE p4 VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO VES NO
REGISTERED OWNER INFO FLOYD SHEETS 14927133RD AVE SE RENTON WA 98058 D:4253653006 VEHICLE NO.2
SHADFY DAMAGED AREA
3 4
LIABILITY INSURANCE[Z INSURANCE CO PROGRESSIVE 922023287
IN EFFECT &POLICY# 9TOP
veHiaE ❑ ,J—I CITATION# CHARGE t080TTOM
L'EGn�LY YES N
25 a e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
RAYMOND WATSON 13127 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG76701
COLLISION REPORT III III III III III 111
1591972 CASE# 26-00058
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) MCLAUGHLIN SCOTT
ADDRESS&PHONE
4258707328 SEXi M MpDDYBVYY —� C--------�
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
1:10 PCs. USE CLASS 1 ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYYYY D.O.B. —
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE CFINJURIES
PCs. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. I USE CLASS
NARRATIVE
Please see subsequent narrative pages
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
RAYMOND WATSON 01-30-26 05:52 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 211112026 4:36:59 AM
BADGE OR ID# j 13127 ORI# WA0171300 TIME POLICE DISPATCHED 12:16 PM TIME POLICE ARRIVED i 12:19 PM
PAST B 3 Do-lmx-attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG76701 CASE# 26-00058 O OF COLLI 510N TIME 01/03/26 12:14
COLLISION
NARRATIVE
26-00058
This report is a summary of events that occurred and is not an exact sequencing of events.
Statements have been paraphrased and summarized.
On 01/03/2026 at approximately 1216 hours, myself, Officer R. Watson, was dispatched to a blocking
accident, at the intersection of NE 3rd ST and Sunset BLVD N, within the City Limits of Renton,
County of King, State of Washington.
Dispatch notes stated that there were two vehicles involved, and they were blocking.
When I arrived on scene there were three vehicles stopped in the left turn lane of Sunset BLVD N
southbound.
Unit#1 driven by Pavlo Yushchuk (DOB 07/25/1995) verified by WA DOL photo, stated he was
driving a White 2019 Mercedez Benz Sprinter, WA plate CSS2654, with a trailer attached, WA plate
95196AL. There was one other occupant in the vehicle who did not identify himself. Pavlo said that he
was making a left-hand turn and misjudged the room he needed when his trailer collided with unit#2.
Pavlo said that he was not injured nor was his passenger and declined aid. When I asked for Castro's
license, registration and insurance, he was able to provide me with all documentation. Unit#1 had no
damage visible to the trailer, no airbag deployment and was able to be driven from the scene.
Unit#2 driven by Floyd W. Sheets (DOB 05/03/1950) verified by WA DOL photo, stated he was
driving a Blue 2017 Subaru Outback, WA plate BGD9749. There was one other juvenile occupant in
the vehicle who was not identified. Floyd said that he was going southbound on Sunset BLVD N when
unit #1 turned into his lane, striking his vehicle with their trailer. Floyd said that neither himself nor his
passenger were injured and declined aid. When I asked for Floyd's license, registration and
insurance he was able to provide me with all documents. Unit#2 had moderate front right side
damage, no airbag deployment and was able to be driven from the scene.
A witness, who was behind unit#2, Scott Mclaughlin said that he saw unit#1 merge into the lane unit
#2 was in but did not have enough room due to the trailer. Unit#1 then struck unit#2.
An exchange of information was completed and provided to each party. Pictures were uploaded to
evidence.com.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer R. Watson #13127 01/30/2026 0547 hours, Renton, King County,
WA.
PAGE 3 OF 4
REPORT NO. EG76701 CASE# 26-00058 DATE AND TIME 01/03/26 12:14
OF COLLISION> '
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PAGE 4 OF 4